HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential x
PERMIT APPLICATION FOR: Shutter
Address: 121 Calle de Lagos, Ft Pierce, FI 34951
Legal Description.. 121 Calle de Lagos (Spanish Lakes Leasehold Estates being lot 121 calle de lagos)
Property Tax ID#: 1301-500-0171-000-1 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
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Installing nine accordion shutters on the home.
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Additional work to a er orme under this permit—check a apply:
11HVAC E]Gas Tank Gas Piping _Shutters Windows/Doors
11 Electric 0 Plumbing .Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 6000.00 Utilities: Sewer Septic Building Height:
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Name Steve Rannacher Name: Jeff Jackman
Address: 121 Calle de Lagos Company: Master Craft Aluminum Products
City: Ft Pierce State:_ Address: 1634 SE Niemeyer Cir
Zip Code: 34951 Fax: City: Port St Lucie State.FI
Phone No.603-540-7623 Zip Code: 34952 Fax: 772-335-0860
E-Mail: Phone No. 772-335-1177
Fill in fee simple Title Holder on next page(if different E-Mail: mastercraftaluminum@gmail.com
from the Owner listed above) State or County License: SCC131150586
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
N am e:StevaAanrtaclSi?r Name:,�
Address:t Address: s
City: Ft Pierce State: City: Pow State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:.
Address:1634 a Address:
City: City:
Zip: Phone: Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree that I will,in all respects,perform the work
in accordance with the approved plans,the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another non-residential use
WARNING TO OWNER:Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recording our Notice of Commencement.
Signature tm
es a/Contractor as Agent for Owner Signat e o C racto /License Holder
STATE OF FLORIDA STA F F ORIDA
COUNTY OF 'S+.L4AC"'L COUNTY OF S�,
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this�dayof {'YbyrGH 2014 by this day of ✓rwrcl� 20>✓ by
Name of pers n making statement Name of person making statement
Personally Knowr OR Produced Identification Personally Known ✓ OR Produced Identification
Type of Identification Type of Identification
Produced Produced
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(Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida)
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Commission No. N� LIC Commission No. tW __ D.M�9al)
TARY PUBLIC
=STATE OF FLORIDA `• STATE OF FLORIDA
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTIL 4MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
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